We conducted the study to find out the influence of Depressive Disorder (DD) on attention among undergraduate students of Southern Taraba State. Eighty-four (84) undergraduate students drawn from Wukari and Ibbi Local Government Areas of Taraba State participated in the survey. Subjects filled the Mindful Attention Awareness Scale (MAAS) and the Beck Depression Inventory (BDI). Data collected was analyzed using Pearson’s r and the finding showed that there is a significant negative relationship between DD and attention in learning, r = -.505, p < 0.0001. In the survey sample, the degree of the effects of the levels of depressive disorder (Borderline – Severe) on attention does not significantly differ, F (3, 49) = 2.668, p = 0.058. Over 63% of the sample was identified as having depressive symptoms ranging from borderline to severe. Following these findings, we concluded that DD negatively affect attention in learning among the study sample and thus, recommended that the university management through the guidance and counselling unit should provide necessary professional psychological help to students that reported the symptoms of DD.

Abstract:Thyroid hormones have many important biological functions in our body. One of the major functions is control of the basal metabolic rate and calorigenesis. Thyroid dysfunction causes remarkable changes in glomerular and tubular functions. In recent studies, it was found that hypo and hyperthyroidism associated with renal derangement resulting in abnormal serum creatinine and uric acid levels. Thus, this study was conducted for estimation and observation of changes in urea and creatinine in subclinical hypo and hyperthyroidism.Total 90 subjects were included in the study. Out of which 30 cases were clinically diagnosed subclinical hypothyroid patients and 30 were subclinical hyperthyroid, remaining 30 were controls. Triiodothyronine (T3),Thyroxine(T4), and TSH were estimated by fully automated Beckman coulter Access-2 analyser. Urea, uric acid and creatinine parameters were measured using automated clinical chemistry analyser. Statistical data analysis was performed by using SPSS 18.2 software. Patients with subclinical hypothyroidism showed significant increase in serum uric acid and creatinine levels (p<0.0001) and patients with subclinical hyperthyroidism showed significant decrease in serum creatinine levels (p<0.0001). When correlated with TSH, serum creatinine showed positive correlation where it has negative for serum uric acid in case of SC hypothyroidism cases. For SC hyperthyroid cases, correlation was negative for serum creatinine and uric acid levels.The overall result of our study indicate that the urea, creatinine, uric acid levels were significantly impaired in subclinical hypo and hyperthyroidism. Therefore, we would emphasize the importance of the routine evaluation of these biochemical parameters in thyroid disorders.

This study aims to analyze the performance of banks owned by DKI Jakarta Provincial Government - Bank DKI in terms of RGEC (Risk Profile, Good Corporate Governance, Earning, Capital), and compare the financial performance of Bank DKI in the year of 2016 and 2017 . The method used in this research is RGEC (Risk Profile, Good Corporate Governance, Earning, Capital), while the long-term goal is modeling the assessment of the financial strategy of the Regional Development Bank. The action plan: (1) Formulate the problem, (2) Compile frame, (3) Prepare hypothesis (4) Conducting experiments / data processing (4) Drawing conclusions, (6) Reporting and scientific publications in the journal ISSN

Blunt abdominal trauma presents a challenge for diagnosis because it may be associated with multiple organ injuries thus physical examination alone may result in an improper diagnosis. Ultrasonography is one of the important tools in the examination of such patients. The aim of the present study was to determine the accuracy of Focused Assessment Sonography for Trauma [FAST technique] in blunt abdominal trauma patients. Methods: The study involved 120 Abdominal trauma patients admitted to Prathima Institute of Medical Sciences and Hospital. Every patient was examined by abdominal sonography in those patients who required urgent management because of serious injuries were excluded from the study. All the patients based on clinical assessments were suspected of abdominal trauma. The sonographies were done using the FAST technique “Focused Assessment Sonography for Trauma" in which six areas of the abdomen were examined. Results: Out of the 120 patients 94 were diagnosed as positive after abdominal sonography out of which 73 were confirmed as positive by CT, DPL, and explorative laparotomy and remaining 21 were found to be negative. Similarly out of 24 diagnosed as negative by sonography 2 were found to be positive by CT, DPL, and explorative laparotomy. The mean sensitivity in all patients was found to be 97.33% with 95% Confidence Interval ranging from 90.70% - 99.68%, the specificity was 53.33% 95% CI 37.87% - 68.34%, the positive predictive value PPV was 77.66% range 71.73% - 82.64% the negative predictive value NPV was 92.31% range 74.85% - 97.98%, the overall accuracy was 80.33% and range was 72.64% - 87.44%. Conclusion: within the limitations of the present study it can be concluded that abdominal ultrasonography with FAST technique is fairly reliable and accurate method of evaluation in blunt abdominal trauma. Abdominal ultrasonography is a valuable tool after clinical examination of the patients with blunt abdominal trauma. It has a relatively high negative predictive value that prevents the patients from undergoing unnecessary tests after blunt abdominal injuries.

The objective of this research is to find out the influence of warm compression on childbirth pain active phase stage I. this research used Quasi Eksperimental method with non equivalent control grup pre-test and post-test approach. Technique of collecting data used Accidental sampling with 30 samples of respondents. Collecting data used T-test. From the statistical test paired T-test result showed T value 6,959 with Asymp sig: 0.000 when 0.000 < 0.05. It’s means the influence of warm compression on childbirth pain of active phase stage I.

This complete enumeration, cross-sectional comparative study was conducted on 62 (29 females; 46.77% and 33 males; 53.23%) first-year MBBS students of a municipal medical college. After explaining the purpose of the study and orienting students about the OSPE procedure and its marking system, written informed consent was obtained from those willing to participate in the study. In the traditional practical examination (TPE), each student tested near and distant vision, which was followed by viva voce on the same procedure and overall marks (out of 20) were allotted by the examiners. During the OSPE, the examiners were provided with a pre-validated checklist containing 10 steps each for examining near vision and distant vision. These examinations were to be carried out within an allotted time of 5 minutes each. One mark was given for correct performance of each step mentioned in the checklist. The maximum marks obtainable were 20 marks - 10 marks each for testing near vision and distant vision. The difference in the overall mean TPE and OSPE scores was highly significant (Z=11.79; p<0.00001). However, the gender difference in mean scores in both TPE and OSPE was not significant. While testing near vision, 69.35% students ensured adequate lighting in the room while 79.03% students tested visual acuity both with and without glasses for subjects who wear glasses. While testing for distant vision, only 24.19% students enquired whether the subject had been prescribed glasses earlier. Thus, for these three OSPE steps, the difference in scores while testing for near and distant vision was statistically significant. Students obtaining relatively lower scores would require remedial training. A larger study would be necessary in order to generalize the results.

The culture of spending time at lapau (hanging out at a small tavern) is one of the traditions owned by Minangkabau people to talk about numerous things, from discussing the nation’s current affairs, problems at workplace, or any topics suitable to bring upon. There is an anecdote “apopun masalahnyo bisa disalasaian di lapau” (every problems can be solved in small tavern) which is very common in Minangkabau society. This paper will describe about melapau tradition: the persistence of Minangkabau custom in Medan. Taking qualitative approach along with descriptive method, this paper will explain the tradition of melapau as cultural reproduction from the hometown to the migration area abroad in the Minangkabau society. Furthermore, cultural sociological perspectives are used to reveal how the existence of melapau done by Minangkabau people in Medan, especially in Bromo, Kotamatsum, Sukaramai and Denai. This paper shows that melapau is a tradition still manifested in the hometown as well as abroad. This demonstrates a process of reproduction of Minangkabau culture in migration area/abroad. Various ideas, activities, and other habits that exist in the hometown are enacted again by the immigrants and Minangkabau men who were born in the City of Medan in different contexts. Melapau becomes a habitus for Minangkabau emigrants, therefore the emigrants reinvent the tradition of melapau and the ideas and activities involved in it. Lapau is an arena for fulfilling melapau habitus.

This study investigates the effect of tax audit and investigation on the revenue generating capabilities of Federal Inland Revenue Services (FIRS), a study of Port Harcourt branch of Federal Inland Revenue Services. The two research questions that guided the research include; to what extent does functional tax audit and investigation department of FIRS influence its revenue generating capabilities; and to what extent does ineffective tax audit and investigation exercises affect the revenue generating capacity of Federal Inland Revenue Service. The population of the study consists of the staff members of the Federal Inland Revenue Service, and professional accountants Port-Harcourt. A Simple random sampling technique was adopted in distributing 100 copies of questionnaire, out of which 80 copies were returned. Presentation and analysis of primary data collected with questionnaire were done using tables and simple percentages. The study revealed that functional tax audit and investigation department, to a considerable extent influences the revenue generating capabilities of Federal Inland Revenue Service. Besides, ineffective tax audit and investigation exercises, to a great extent, weaken revenue generating capacity of Federal Inland Revenue Service. The study recommends the need to strengthen tax audit and investigation department and to ensure its optimal performance, a degree of autonomy should be granted to this department to enable it carry out its responsibilities effectively as specified in Federal Inland Revenue Service Establishment Act 2007.Thorough, regular, effective and efficient audit and investigation exercises should be put in place through the employment of competent professionals considering the importance of tax audit and investigation processes. The study equally concluded that effective and efficient audit and investigation exercises together with functional tax audit and investigation department would strengthen considerably the generating capabilities of Federal Inland Revenue Services (FIRS).

This article applies a „natural language processing framework‟ and examines the usage of „select keywords‟ in the annual State of the Union Addresses by the U.S. Presidents and the National Security Strategy (NSS) documents published under their seal by the White House since 1991. It simply counts the usage of the select keywords and demonyms in both the mentioned sources and examines the context/problematic in which they were used – thus attempting to locate Central Asia in the U.S. foreign policy from an „alternate perspective‟. It is assumed that the institutions and intellectuals of the statecraft produce American „national interest‟ differently – looking beyond the state-centric geopolitical vision of one‟s foreign policy through an „alternate perspective‟ becomes pertinent. As the identified sources merely give a broader picture in the form of a synopsis and not a detailed account, the article briefly records the „popular‟ U.S. foreign policy in Central Asia in the very beginning. The study finds out that the U.S. policy for Central Asia, largely, is a subset of the wider American policies practised around the region. The Central Asian problematic is thus determined by “security” of the U.S. national interests in the region which continue and change. Considering the State of the Union addresses and the NSS documents, the article submits that the significance of Central Asia for the U.S. foreign policy is vital yet relatively limited. And in the absence of any concrete Central Asian policy the security-based „problematic‟ will continue to exist.

Psoriasis is a common chronic, recurrent, immune mediated disease of the skin and joints. It can have a significant negative impact on the physical, emotional and psychosocial wellbeing of affected patients. Many Ayurvedic texts have explained skin diseases, which resembles Psoriasis. According these references, Psoriasis can be considered as the vitiation of Vata and Kapha. The “wrong diet” is the major link for disease manifestation. Hence elimination of this „wrong diet‟ & implementation of corrective diet plays a major role in breaking the „Samprapti‟. The Dietary interventions for Psoriasis or any skin disease can have the following seven components- Nidana Parivarjana, Avashta anusara ahara sevana, Matra consideration, avoiding unwholesome diet, observing proper mental status during food intake, Prescription of specific disease related diet, and very important one- Education about Aahara. The article intends to uplift the importance of holistic approach towards diet prescription rather than only disease specific diet.

Employee retention relates directly to how we reward them. Replacing employees in a company can be an arduous and an expensive exercise. Even in more secure industries such as the public sector, performance needs to be managed and staff motivated as in the private sector. Retention of experienced staff in both these industries is important to create competitive advantage and organisational success is restricted by the economic climate, retaining high performers with rewards has to be achieved while making all staff feel valued. As more and more organisations cross international boundaries to conduct business, rewards that are relevant in one country may not be as important in another. Organisations need to accurately measure and evaluate the performance of their employees and reward them accordingly. There should therefore be a direct link between a performance appraisal system and rewards emanating from that system. Many a time, performance management systems do not show any connection with the rewards that the employer gives to its employees thus rendering the performance approval system irrelevant.

The current clinical study was planned to assess the efficiency of Jeemootakaphala Avapeedaka and Pradhamana Nasya in Kosthashakhashrita kamala. The study was completed on 30 patients diagnosed with Kosthashakashrita kamala of either sex, among the age faction of 20 to 60 years who were arbitrarily chosen. The patients were categorized into 2 groups i.e Group A & group B. Jeemootaka phala Avapeedaka Nasya was given to group A, while Jeemootaka phala Pradhamana Nasya was administered in group B. The dosage of Nasya was -1.5 ml in every nostril in group A, 65 mg in every nostril in group B. The evaluation was made before the treatment and after treatment. Patients were followed up after 7 days of Nasya. Hence whole study period was 15 days. Both Nasya showed considerable improvement in Kosthashakhashrita kamala. Clinical efficiency of group A was better than to group B however statistically both groups showed similar efficacy.

Abstract: The present study examined the associations and age-related development of motivational climate, achievement goals, enjoyment, technical skills, and body mass index (BMI) in young floorball players. The sample comprised 283 Finnish competitive male floorball players with a mean age of 11.49 ± .27 years in the beginning of the data collection. Players completed floorball-specific technical skill tests and questionnaires across two time points, twelve months apart. The path model showed that perceptions of task-involving climate positively associated with mastery-approach, performance-approach, and enjoyment, whereas perceptions of ego-involving climate related with mastery- and performance-approach and mastery- and performance-avoidance. The results indicated that players with higher BMI had higher mastery-avoidance and slower dribbling skill scores. However, the findings supported previous findings, as a player can have high mastery-approach and high performance-approach or high performance-avoidance at the same time. Finally, mastery- and performance-approach, performance-avoidance, dribbling skills, and passing test scores increased over time. In contrast, perceptions of task- and ego-involving climate, mastery-avoidance, enjoyment, and BMI remained stable. The findings indicated that task-involving coaching methods could enhance approach goals and enjoyment in young floorball players. All young floorball players, especially players with higher BMI could benefit, if they were encouraged to spend more time with a wide range of fundamental skill practices on their leisure time, not only during the organized sessions. This could increase their floorball-specific skills, and in turn, decline the negative perceptions of mastery-avoidance.

This study aims to analyze the influence of innovation and networking on Knowledge Management and its implications on competitive advantage in Small and Medium Enterprises Event Organizer. The type of research used is quantitative with survey method. Research respondents were 55 people from Small and Medium Business Event Organizer in Jakarta. The data were analyzed using Partial Least Square (PLS). The results show that there is an influence of innovation and networking on Knowledge Management and Sustainability Competitive Advantage in Small and Medium Business Event Organizer in Jakarta.

Abstract: Background: Lung cancer is a type of cancer that arises in the lungs. Adenocarcinoma and squamous cell carcinoma are the two major subtypes of non-small cell lung carcinoma. Material and Methods: This is a retrospective study conducted in the Department of Pathology, over a period of 1 year at a tertiary care hospital and teaching centre. A total of 125 cases comprising of 70 adenocarcinomas and 55 squamous cell carcinomas of lung were included in the study. Result: All 27 cases of well differentiated Adenocarcinoma were negative for P40 and 1 case showed positive P63 expression. Out of 43 cases of moderately differentiated Adenocarcinoma, 1 case was positive for P40 and 4 cases were positive for p63. Out of 19 cases of well differentiated Squamous cell carcinomas 18(94.7%) cases were positive for P40 and 18 (94.71%) cases were P63 positive. All 36 (100%) cases of moderately differentiated Squamous cell carcinoma showed positive P40 and P63 expression. Conclusion: Strong and diffuse P40 expression was noted in majority of lung squamous cell carcinomas and absence of P40 in most of the lung adenocarcinomas. Thus, p40 is an excellent marker for distinguishing lung squamous cell carcinoma from adenocarcinoma, and that its expression is equivalent to that of p63 in lung squamous cell carcinoma. Since P63 shows variable expression in lung adenocarcinomas; in moderately differentiated cases, a two-panel approach of p63 and p40 help to distinguish adenocarcinoma from squamous cell carcinomas.